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Diagnosis and Management of Aortic Disease

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89 Advantages Disadvantages Avoids placement of foreign body in infected area • Not technically feasible for thoracic, suprarenal, or visceral location or for emergency use • Long operating time • Long-term patency rates low • Stump blowout • Limb ischemia, amputation • Reinfection rate higher than for in situ reconstruction • Ischemic colitis • More versatile than extra-anatomic: fewer long-term complications, higher patency rates, lower recurrent infection rate, shorter operating time • Polyester grafts † available for emergency surgery • Selected aortoenteric fistulae • Theoretical risk of infection because of interposition of foreign material in infected site • Emergency stabilization • Low early morbidity, mortality • Less invasive • No cross-clamping of aorta: spinal cord injury, reperfusion injury • Persistent infections and device infections • Higher long-term morbidity, mortality with device retention • Requires device explanation, reconstruction

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